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Monday, December 21, 2015
MANDATORY FARM EVALUATION AS
REQUIRED BY IRRIGATED LANDS REGULATORY
PROGRAM (Order No. R5-2012-0116)
Dear Robin Singh,
Singh FarmsRobin Singh
25810 Ave 11Madera CA 93637
ID # 6545
You may need to make copies of Parts B and D of the survey and
complete separate surveys for each of your fields that are managed
differently or have different crops.
See detailed instructions on the following pages.
Parry Klassen Wayne Zipser Executive Director, ESJWQC Grower
Relations Manager 209-846-6112 209-846-6112
Thank you,
Parcel numbers and Field ID numbers have been pre-populated in
the surveys based on your membership information and County
Agricultural Commissioner’s records. Please check the box next to
the APN/field(s) that the answers pertain to. Answer questions
based on practices used in 2015.
This Farm Evaluation Survey is intended to be a “census” of farm
management practices being used on irrigated cropland in the
Central Valley to protect surface and groundwater. The Farm
Evaluation Survey is based on a template approved by the Regional
Water Board and members of all water quality coalitions in the
Central Valley are required to complete a survey. Results are
compiled from all members into a summary report.
Please contact us if you have questions about completing this
Farm Evaluation Survey. Again, if you did not farm your property in
2015, please contact us and let us know as soon as possible.
Contact us at [email protected] or (209) 846-6112 with
your questions or to inform us that you did not farm in 2015.
MUST BE RETURNED BY 2/1/2016
If this property is leased to someone else or you are not
actively involved in the farm, please forward the materials to the
person/company responsible for farming activities on the property.
If you want future surveys forwarded to this person/company, please
notify us and provide the contact information.
Enclosed is the Farm Evaluation Survey developed under
requirements mandated in the Irrigated Lands Regulatory Program
(ILRP Order No. R5-2012-0116), adopted on December 7, 2012. To
remain a member in good standing, members must complete a Farm
Evaluation Survey for each enrolled parcel(s) and return it to the
Coalition. If you did not farm this property in 2015, please
contact us and let us know as soon as possible; the deadline for
submittal is February 1, 2016.
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If any information is incorrect, please indicate the correct
information on the surveys.
Farm Evaluation Survey
For example, you might have two fields of different crops in one
APN so they could be identified as APN# 111-00-222; field A; APN#
111-00-222, field B, etc. or any other designation used by the
County Agricultural Commissioner or your own records.
If all parcels/fields listed have the same practices, fill out
one (1) survey for all enrolled parcels and return. Check the
corresponding box(es) on the far left column to indicate the
field(s) covered by the answers.
If parcels/fields have different practices, make copies of the
survey and fill out one (1) survey for each parcel/field with
different practices.
For example, if a member has 3 parcels enrolled with one crop
grown (Parcel A, B and C) and he manages Parcel A and B the same,
he can fill out one survey for Parcels A and B. Another survey
needs to be filled out for Parcel C to record the crops or
practices that differ from A and B.
Overall Instructions
The practices recorded on the survey should correspond to the
APN parcels and Field IDs shown on the map. You may subdivide a
parcel into fields, assigning each field a name or number (if one
is not already assigned).
When copies are made, check the box next to the parcel(s) and
Field ID(s) that the survey responses apply to.
This Farm Evaluation Survey is prepopulated with member
information you provide to the Coalition.
Included with this Farm Evaluation is one or more maps of your
parcels (APNs) enrolled with us, depending on the number and
location of parcels. Each map will have the parcel(s) outlined and
include:
APN Parcel Number,
Field ID used for your county Pesticide Use Reporting;
If no Field ID is indicated, add to the space next to each APN
listed (each APN can have one or more field ID numbers.)
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Step 1: Part A: answer Questions 1 – 3 for all enrolled
parcels.
Step 2: Part B, question 1: check the parcels that the survey
applies to by putting a check in the left hand box. Use the
attached farm map(s) to help identify parcel numbers including
Field IDs. This information corresponds to the map(s) in Part E.
Fill in any missing information. Remember to fill out a survey for
each of your enrolled parcels.
Step 3: Part B: Answer questions 2 – 4 for parcels that at the
top of the page by checking the box next to the parcel. make a copy
of the page to answer questions for parcels/fields differently.
If parcels or fields differ in their practices you must
Step 4: Part C: Answer Questions 1 and 2 pertaining to
irrigation well information. Give each well a unique identifier
(Well ID) and list that in column 1. Use the Well ID to link the
well management practices to the wells identified on the map. Also
identify the location of both active and abandoned wells on the
map. Transfer that identifier to the Farm Map and keep the map in
your files (do not return to the Coalition). The map with well
identifiers must be produced if you ever have a Regional Water
Board compliance inspection.
Step 5: If parcels or fields differ
in their practices you must make a copy of the page to answer
questions for parcels/fields differently. Make sure you check off
which parcels your answers apply to.
Step 6:
Part D: Answer questions as you did in Part B in reference to
parcels that at the top of the page by checking the box next to the
parcel.
Step 7:
Review the Farm Map of your enrolled parcels (those that were
checked in
Step By Step Instructions
Part A: Whole Farm EvaluationPart B: Specific Field
EvaluationPart C: Irrigation Well InformationPart D: Sediment
Erosion Control PracticesFarm Map(s)
The Farm Evaluation has 5 components:
you identify
and make any necessary changes to the boundaries. For example, a
parcel may be enrolled and assigned to a member; however the
acreage enrolled is only part of the entire parcel. If you need to
update the parcel boundaries, return a copy of the updated map to
the Coalition with your Farm Evaluation so the information is
linked to the correct piece of land.Sign the bottom of Part A to
certify that all of the information provided is current and
accurate. Return to the Coalition the signed Farm Evaluation (Part
A – Part D) and map(s) (Part E, if updated with parcel / field ID
information).
Step 2 )
you identified
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Part A – Whole Farm EvaluationMember Name:
_______________________________ Coalition Member ID#:________Robin
Singh 6545
4. Complete Part D on sediment and erosion control practices
used on farm field(s).
I certify under penalty of law that this document and all
attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified
personnel or represented Members properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons
who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for knowingly submitting
false information, including the possibility of fine and
imprisonment for violations.
3. Does your farm have the potential to discharge sediment to
off-farm surface waters?(circle one) Yes No
Signature Printed Name Date
1. Pesticide Application Practices (check all that apply)
2. Who do you have help develop your crop fertility plan? (Check
all that apply)
County Permit Followed
Follow Label Restrictions
Sensitive Areas Mapped
Attend Tranings
End of Row Shutoff When Spraying
Avoid Surface Water When Spraying
Reapply Rinsate to Treated Field
Target Sensing Sprayer used
Use Drift Control Agents
Monitor Wind Conditions
Use Appropriate Buffer Zones
Use Vegetated Drain Ditches
Monitor Rain Forecasts
Use PCA Recommendations
Chemigation
Other____________________
Other____________________
Certified Crop Advisor (CCA)
Pest Control Advisor (PCA)
Certified Technical Service Providers by NRCS
Professional Soil Scientist
Professional Agronomist
Independently Prepared by Member
UC Farm Advisor
None of the above
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Part B – Specific Field EvaluationMember Name:
________________________________ Coalition Member ID#:________Robin
Singh 65451. Identify the Parcels and Fields that this survey
applies to by checking the box in the first column below. Fill out
a separate survey for parcels/fields with different practices.
SW High Vulnerability is when a parcel is within an area covered
by a Surface Water Management Plan. GW High Vulnerability is areas
having potential for groundwater contamination.
SW GW
High Vulnerability Parcel (APN) Field ID Acres Crop
GrapesB28044-240-003 MaderaUnknown Vulnerability, Need Valid
APN
GrapesB28044-240-003 MaderaUnknown Vulnerability, Need Valid
APN
Pistachios8046-030-002 Madera
PistachiosMAROLIVE
046-030-002 Madera
Pistachios046-030-002 Madera
Pistachios046-030-002 Madera
Walnuts046-050-020 Madera
Walnuts4-02W046-050-020 Madera
Walnuts4-01G046-050-021 Madera
Walnuts4-01W046-050-021 Madera
Walnuts046-050-022 Madera
Walnuts4-01W046-050-022 Madera
Grapes2-05G046-080-002 Madera
Grapes046-080-002 Madera
Grapes2-06G046-080-002 Madera
Grapes2-04G046-080-002 Madera
Walnuts/Prunes/Almonds
2-03P2046-080-003 Madera
Walnuts/Prunes/Almonds
046-080-003 Madera
Walnuts/Prunes/Almonds
046-080-003 Madera
Walnuts/Prunes/Almonds
2-03P1046-080-003 Madera
Walnuts/Prunes/Almonds
2-01046-080-003 Madera
Walnuts/Prunes/Almonds
2-02046-080-003 Madera
Grapes046-090-027 Madera
Grapes8-01046-090-027 Madera
GrapesB2046-090-027 Madera
Grapes046-090-027 Madera
Grapes8-01046-090-027 Madera
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GrapesB4046-090-027 Madera
GrapesB2046-090-027 Madera
Grapes8-01046-090-027 Madera
Grapes046-090-027 Madera
Almonds1312047-200-003 Madera
Almonds7-2047-200-003 Madera
Almonds13047-200-003 Madera
Almonds047-200-003 Madera
Almonds7-1047-200-003 Madera
Almonds1-01048-020-002 Madera
Almonds3736P38E048-020-002 Madera
Almonds1-02048-020-002 Madera
Almonds048-020-002 Madera
Almonds048-020-002 Madera
Almonds1-04048-020-002 Madera
Almonds1-03048-020-002 Madera
Almonds1048-020-002 Madera
2. Irrigation Practices
3. Irrigation Efficiency Practices (check all that apply)
4. Nitrogen Management Methods to Minimize Leaching Past The
Root Zone
(A secondary system could be used for crop germination, frost
protection, crop cooling, etc.)
(check all that apply)
Drip
Micro Sprinkler
Furrow
Sprinkler
Border Strip
Flood
Primary (check one) Secondary (if applicable, check one)
Drip
Micro Sprinkler
Furrow
Sprinkler
Border Strip
Flood
Laser Leveling
Use of E in scheduling irrigations
Water application scheduled to need
Use of moisture probe (e.g. irrometer or tensiometer)
Soil Moisture Neutron Probe
Pressure Bomb
Other__________________
Other__________________
T
Cover Crops
Split Fertilizer Applications
Soil Testing
Tissue/Petiole Testing
Variable Rate Applications using GPS
Foliar N Application
Irrigation Water N Testing
Fertigation
Other__________________
Other__________________
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(Circle one) Yes No
Comments: _____________________________________________
1.
2.3.
Part C – Irrigation Well Information
*Good housekeeping practices include keeping the area
surrounding the wellhead clean of trash, debris and any empty
container
s.
Do you have any irrigation wells on parcels associated with this
Farm Evaluation?
Are you aware of any known abandoned wells associated with this
Farm Evaluation?For abandoned wells, mark the location of these
wells on the attached map(s) or your own farm map with aunique Well
ID of your choice and fill in the following table. For each well,
be sure to fill in the table withthe Well ID that corresponds to
the map and put an "X" next to the practices that apply to the
individualwell. If the well has been abandoned, indicate the year
the well was abandoned (write "UNK" if the year is unkown;
approximate is ok) and mark how the well was abandoned:
(Circle one) Yes No
6545
Assign a name that you use to identify the well.
Wellhead Protection Abandoned Wells
Well ID
Gro
und S
loped A
way
Fro
m W
ellh
ead
Sta
ndin
g W
ate
r
Avoice
d A
round
Wellh
ead
Good
"House
keepin
g"
Pra
ctices*
Air G
ap (fo
r Non
Pre
ssurize
d S
yste
ms)
Back
flow
Pre
venta
tive/C
heck
Valv
e
Cem
ent P
ad
If Abandoned, Y
ear
Abandoned
Destro
yed - C
ertifie
d
by C
ounty
Destro
yed b
y
Lice
nse
d P
rofe
ssional
Destro
yed - U
nknow
n
Meth
od
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Fill out a separate survey for parcels/fields with different
practices. 1. Identify the Parcels and Fields that this survey
applies to by checking the box in the first column below.
Part D – Sediment Erosion Control Practices
SW GW
High Vulnerability Parcel (APN) Field ID Acres Crop
Member Name: _______________________________ Coalition Member
ID#:________Robin Singh 6545
GrapesB28044-240-003 MaderaUnknown Vulnerability, Need Valid
APN
GrapesB28044-240-003 MaderaUnknown Vulnerability, Need Valid
APN
Pistachios046-030-002 Madera
Pistachios046-030-002 Madera
PistachiosMAROLIVE
046-030-002 Madera
Pistachios8046-030-002 Madera
Walnuts046-050-020 Madera
Walnuts4-02W046-050-020 Madera
Walnuts4-01G046-050-021 Madera
Walnuts4-01W046-050-021 Madera
Walnuts046-050-022 Madera
Walnuts4-01W046-050-022 Madera
Grapes046-080-002 Madera
Grapes2-06G046-080-002 Madera
Grapes2-04G046-080-002 Madera
Grapes2-05G046-080-002 Madera
Walnuts/Prunes/Almonds
046-080-003 Madera
Walnuts/Prunes/Almonds
2-03P1046-080-003 Madera
Walnuts/Prunes/Almonds
2-01046-080-003 Madera
Walnuts/Prunes/Almonds
2-02046-080-003 Madera
Walnuts/Prunes/Almonds
2-03P2046-080-003 Madera
Walnuts/Prunes/Almonds
046-080-003 Madera
Grapes8-01046-090-027 Madera
GrapesB2046-090-027 Madera
Grapes046-090-027 Madera
Grapes8-01046-090-027 Madera
GrapesB4046-090-027 Madera
GrapesB2046-090-027 Madera
Grapes8-01046-090-027 Madera
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Grapes046-090-027 Madera
Grapes046-090-027 Madera
Almonds13047-200-003 Madera
Almonds7-1047-200-003 Madera
Almonds1312047-200-003 Madera
Almonds047-200-003 Madera
Almonds7-2047-200-003 Madera
Almonds3736P38E048-020-002 Madera
Almonds1-03048-020-002 Madera
Almonds1-04048-020-002 Madera
Almonds048-020-002 Madera
Almonds048-020-002 Madera
Almonds1-01048-020-002 Madera
Almonds1-02048-020-002 Madera
Almonds1048-020-002 Madera
2. Irrigation Practices for Managing Sediment and Erosion
In-furrow dams are used to increase infiltration and settling out
of sediment prior to entering the tail ditch. The time between
pesticide applications and the next irrigation is lengthened as
much as possible to
mitigate runoff of pesticide residue.
Shorter irrigation runs are used with checks to manage and
capture flows. PAM (polyacrylamide) used in furrow and flood
irrigated fields to help bind sediment and increase
infiltration.
Use drip or micro-irrigation to eliminate irrigation drainage.
Use of flow dissipaters to minimize erosion at discharge point.
Tailwater Return System. Catchment Basin. No irrigation drainage
due to field or soil conditions.
3. Cultural Practices to Manage Sediment and Erosion Storm water
is captured using field borders. Vegetated ditches are used to
remove sediment as well as water soluble pesticides, phosphate
fertilizers
and some forms of nitrogen.
Vegetative filter strips and buffers are used to capture flows.
Sediment basins / holding ponds are used to settle out sediment and
hydrophobic pesticides such as
pyrethroids from irrigation and storm runoff.
Cover crops or native vegetation are used to reduce erosion.
Hedgerows or trees are used to help stabilize soils and trap
sediment movement. Soil water penetration has been increased
through the use of amendments, deep ripping and/or aeration. Crop
rows are graded, directed and at a length that will optimize the
use of rain and irrigation water. Creek banks and stream banks have
been stabilized. Subsurface pipelines are used to channel runoff
water. Berms are constructed at low ends of fields to capture
runoff and trap sediment. Minimum tillage incorporated to minimize
erosion. Field is lower than surrounding terrain. No storm drainage
due to field or soil conditions.
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Part E - Farm Map
ESJWQC
Legend
(Keep Onsite - For Inspection Purposes Only)Update map with well
locations and surface water discharge points
Borden St
Road 26
Road 28
Road 27
1/2
Road 26
1/2
Road 25
1/2
Avenue 11
Road 25
Road 28
1/2
Avenue 12 1/2
Avenue 11 1/2
Avenue 10
Road 26
1-2
Avenue 9
Avenue 9 1/2
046-080-002/ 2-05G046-080-002 / 2-06G046-080-003/ 2-07W
046-080-003/ 2-03P2
048-020-002/1
¬«99
046-080-002 / 046-080-003 /046-090-027 /
047-200-003 /
048-020-002 /044-240-003 / 9-1
046-030-002 / 5-4
046-050-020 / 4-02W046-050-021 / 4-01W046-050-022 / 4-01W
046-080-002 / 2-04G046-080-003 / 2-01
046-080-003 / 2-03P1
046-090-027 / 8-01
047-200-003 / 7-1047-200-003 / 7-2
048-020-002 / 1-03048-020-002 / 1-01048-020-002 / 1-02
048-020-002 / 1-04
046-080-003 / 2-02
± 0 0.650.325MilesKEEP FOR YOUR RECORDS
X - In Use Well LocationsA - Known Abandoned Well LocationsDP -
Off Farm Surface Water Discharge Points
Robin Singh, Member 6545Date Prepared: 12/10/2015
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Part E - Farm Map
ESJWQC
Legend
(Keep Onsite - For Inspection Purposes Only)Update map with well
locations and surface water discharge points
Terra Fir
ma Rd
Road 26
1/2
Road 25
1/2
Avenue 11 1/2
Road 26
Road 25
Avenue 12 1/2
046-030-002 /046-030-002 / 5-4
046-050-020 / 4-02W046-050-021 / 4-01W
046-050-022 / 4-01W
± 0 0.30.15MilesKEEP FOR YOUR RECORDS
X - In Use Well LocationsA - Known Abandoned Well LocationsDP -
Off Farm Surface Water Discharge Points
Date Prepared: 12/14/2015
Robin Singh, Member 6545
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Part E - Farm Map
ESJWQC
Legend
(Keep Onsite - For Inspection Purposes Only)Update map with well
locations and surface water discharge points
Road 26
Road 25
1/2
Avenue 11
046-080-002 /
046-080-003 / 046-090-027 /046-080-002 / 2-04G
046-080-002 / 2-05G
046-080-002 / 2-06G
046-080-003 / 2-07W
046-080-003 / 2-01
046-080-003 / 2-03P1
046-080-003 / 2-03P2
046-090-027 / 8-01046-080-003 / 2-02
± 0 0.150.075MilesKEEP FOR YOUR RECORDS
X - In Use Well LocationsA - Known Abandoned Well LocationsDP -
Off Farm Surface Water Discharge Points
Date Prepared: 12/14/2015
Robin Singh, Member 6545
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Part E - Farm Map
ESJWQC
Legend
(Keep Onsite - For Inspection Purposes Only)Update map with well
locations and surface water discharge points
Road 28
Road 28
1/2
047-200-003 /047-200-003 / 7-1
047-200-003 / 7-2
± 0 0.20.1MilesKEEP FOR YOUR RECORDS
X - In Use Well LocationsA - Known Abandoned Well LocationsDP -
Off Farm Surface Water Discharge Points
Date Prepared: 12/14/2015
Robin Singh, Member 6545
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Part E - Farm Map
ESJWQC
Legend
(Keep Onsite - For Inspection Purposes Only)Update map with well
locations and surface water discharge points
Avenue 8 1/2
Avenue 9
048-020-002 /048-020-002 / 1
048-020-002 / 1-03
048-020-002 / 1-01
048-020-002 / 1-02
048-020-002 / 1-04
± 0 0.20.1MilesKEEP FOR YOUR RECORDS
X - In Use Well LocationsA - Known Abandoned Well LocationsDP -
Off Farm Surface Water Discharge Points
Date Prepared: 12/14/2015
Robin Singh, Member 6545
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Part E - Farm Map
ESJWQC
Legend
(Keep Onsite - For Inspection Purposes Only)Update map with well
locations and surface water discharge points
Avenue 8 1/2
Avenue 9
Road 25
044-240-003 / 9-1
± 0 0.150.075MilesKEEP FOR YOUR RECORDS
X - In Use Well LocationsA - Known Abandoned Well LocationsDP -
Off Farm Surface Water Discharge Points
Date Prepared: 12/14/2015
Robin Singh, Member 6545